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Medicare Director Jobs (NOW HIRING)

American Advanced Management

Medicare Biller

Salida, CA · On-site

$22 - $26/hr

POPULATION SERVED The position does not involve direct patient care for a population of patients ... Resubmit claims, file appeals/denials, and demonstrate in-depth knowledge of Medicare, Medi-Cal and ...

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Medicare Director information

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$102K

$135.9K

$143.5K

How much do medicare director jobs pay per year?

As of Aug 21, 2026, the average yearly pay for medicare director in the United States is $135,863.00, according to ZipRecruiter salary data. Most workers in this role earn between $137,500.00 and $141,000.00 per year, depending on experience, location, and employer.

What is a Medicare director?

A Medicare Director is a senior-level professional responsible for overseeing Medicare programs within a healthcare organization, insurance company, or government agency. They manage compliance with federal and state regulations, develop strategies to maximize Medicare services, and ensure high-quality care for Medicare beneficiaries. Their duties often include supervising teams, coordinating with external partners, monitoring program performance, and staying up-to-date with changes in Medicare policies. Medicare Directors play a crucial role in optimizing operations and ensuring that their organization meets all requirements for Medicare participation.

What are the key skills and qualifications needed to thrive as a Medicare director?

To thrive as a Medicare Director, you need in-depth knowledge of Medicare regulations, healthcare management experience, and often a bachelor's or master's degree in healthcare administration or a related field. Familiarity with CMS guidelines, health plan management software, and regulatory compliance tools is typically required. Excellent leadership, strategic thinking, and strong communication skills are crucial for coordinating teams and ensuring regulatory adherence. These competencies are essential for ensuring efficient plan operations, maintaining compliance, and delivering high-quality healthcare services to beneficiaries.

What are some of the common challenges faced by a Medicare director, and how can they effectively address them?

Medicare Directors often navigate complex regulatory environments and rapidly evolving healthcare policies. A common challenge is ensuring compliance with both state and federal Medicare guidelines while maintaining efficient operations and high-quality member care. To address these, successful Medicare Directors stay updated on policy changes, foster strong relationships with compliance officers, and implement continuous staff training. Additionally, they collaborate closely with cross-functional teams such as clinical, legal, and IT departments to streamline processes and improve patient outcomes.

What is the difference between Medicare Director vs Medicare Coordinator?

AspectMedicare DirectorMedicare Coordinator
Required CredentialsBachelor's degree, industry experience, possibly certifications in healthcare managementHigh school diploma or equivalent, healthcare or insurance experience often preferred
Work EnvironmentManagement setting, overseeing teams and programs within healthcare organizationsAdministrative or support roles, working closely with Medicare plans and beneficiaries
Employer & Industry UsageHospitals, insurance companies, government agenciesInsurance providers, healthcare facilities, government programs
Common Search & ComparisonMedicare Director vs Medicare Coordinator

The Medicare Director typically holds a management role with strategic responsibilities, requiring higher education and experience. In contrast, the Medicare Coordinator focuses on administrative support and day-to-day operations. Both roles are essential in the Medicare industry but differ in scope, responsibilities, and qualifications.

More about Medicare Director jobs

What cities are hiring for Medicare Director jobs?

Cities with the most Medicare Director job openings:

What are the most commonly searched types of Medicare jobs?

The most popular types of Medicare jobs are:

What states have the most Medicare Director jobs?

States with the most job openings for Medicare Director jobs include:

What job categories do people searching Medicare Director jobs look for?

The top searched job categories for Medicare Director jobs are:

Medicare Director jobs near you
Infographic showing various Medicare Director job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 83% Full Time, 12% Part Time, 1% Temporary, and 2% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $135,863 per year, or $65.3 per hour.

Medicare Biller

American Advanced Management

Salida, CA • On-site

$22 - $26/hr

Full-time

Re-posted yesterday

Job description

Description:

DESCRIPTION OF POSITON

This job description is a record of the essential functions of the listed job. The job description provides the employee, CEO, Human Resources, applicants, and other agencies with a clear understanding of the job, where it fits into the organization, and the skill and work requirements in relation to other jobs. Jobs are always changing to some degree and the existence of the approved job description is not intended to limit normal change and growth. The facility will make reasonable accommodations to otherwise qualified individuals who are capable of performing the essential functions of the job with or without reasonable accommodation.


POPULATION SERVED

The position does not involve direct patient care for a population of patients ages 18 and older. Age specific experience and/or special training and/or expertise are not required to serve this population.

POSITION SUMMARY

Under general supervision of the CFO and/or Business Office Manager, the Biller may participate in any or all aspects of the patient accounts and receivable functions of the organization including billing, charge entry, collection, payment posting and credit balance resolution. He/she may reconcile daily reports. He/she may balance monthly transactions and provide summaries to finance department and administration.

DUTIES AND RESPONSIBILITIES

  • Track claims or charges and monitor third-party payers.
  • Inform billing Supervisor/Director of Business Office of any insurance issues (third party billing).
  • Update patient accounts.
  • Contact payers in order to obtain claim status consistently.
  • Ensure that all activities related to billing meet requirements.
  • Resubmit claims, file appeals/denials, and demonstrate in-depth knowledge of Medicare, Medi-Cal and other government insurance.
  • Perform other job related duties as assigned by Management.


Requirements:

Minimum five years of paid Medical Billing/Collections experience is preferred. A high school diploma or equivalent is required. Must have experience with billing/claim submission and revenue cycle collections. Knowledge of patient accounting and business office procedures is required. Must have excellent mathematical, written, and verbal communication skills. At least five years of experience using DDE for Medicare, including submitting corrections and related tasks, is required.


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